| NPI | 1013921881 |
|---|---|
| Doing Business As | NORTH LAKE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CINDY RICETTI Pharmacy Tech/Mamager 707-263-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHA212400) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-12-09 |